KNOW THE SIGNS OF EATING DISORDERS

While anorexia, bulimia and binge eating disorders often surface during adolescence, girls (and boys) can show signs of trouble much earlier. “Catching these problems quickly can prevent a lifelong struggle,” says Jill Layne, a licensed clinical social worker with Children’s Hospital of the King’s Daughters in Norfolk, Va. Some red flags:

• She’s obsessed with weight. A child might voice an intense fear of gaining weight, comment about feeling fat when she’s a normal size or, if she is overweight, become fixated on that fact.

• She sneaks or hoards food. You might find discarded wrappers in her room or notice she’s ashamed of what she’s eaten.

• She makes excuses for not eating. Common lines: she had a big lunch or ate right before coming home.

• Her eating and exercise habits become extreme. A child might refuse anything but very low-calorie options — which can alternate with binges on favorite “bad” foods — and constantly try to burn off calories.

• Her appearance starts to change. If she’s not getting enough calories, her hair and skin will dry out and her energy levels will fall.

• She follows “rituals” at meals. Anorexics might cut food into tiny pieces or keep different items from touching each other. Bulimics will go to the bathroom immediately after meals to purge.

What to do: Reassure a child she’s beautiful – never belittle her or her behavior – and ask why she’s feeling insecure.

Educate her on good food choices and how to follow hunger cues. Help her find ways to be successful.